DR. SUSAN A KELLY (NPI# 1376599845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376599845 |
| Entity Type | Individual |
| Full Name | DR. SUSAN A KELLY |
| Credential | M.D. |
| Practice Address |
100 S Main St Suite 215 Smyrna DE 19977-1477 |
| Practice Telephone | 3026594520 |
| Practice Fax Number | 3026594525 |
| Mailing Telephone | 3026594520 |
| Mailing Fax Number | 3026594525 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2013-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | C10004427 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0001017201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023658168 | Susan Schack Kelly | Psychologist | 8609 Germantown Ave # 2f, Philadelphia, PA 19118-2863 | 2020-01-07 |
| 1992265003 | Susan Elizabeth Kelly | Nurse Practitioner | 239 Clifford Price Loop, Mooresburg, TN 37811-2337 | 2019-03-24 |
| 1770956617 | Susan Dale Kelly | Social Worker | 524 Brighton Ave, Spring Lake, NJ 07762-1561 | 2015-10-31 |
| 1356773097 | Susan J. Kelly | Social Worker | 31 Ownly Ave, West Haven, CT 06516-1245 | 2013-08-05 |
| 1992046007 | Susan Kelly | Nurse Practitioner | 3001 S Lincoln Ave Ste A, Steamboat Springs, CO 80487-1790 | 2013-03-14 |
| 1063708758 | Susan Fay Kelly | Social Worker | 100 So. Highland, Ossining, NY 10562 | 2011-06-22 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| 1043386246 | Susan Kelly | Social Worker | 42 Wendell Avenue, Pittsfield, MA 01201 | 2006-11-28 |
| 1669566139 | Susan S Kelly | Physical Therapist | 1340 Lake Blvd., Davis, CA 95616 | 2006-10-02 |
| 1548200074 | Susan C Kelly | Dermatology | 7 Weaver Rd, North Kingstown, RI 02852-7135 | 2006-06-06 |
| Street Address |
100 S MAIN ST SUITE 215 |
| City | SMYRNA |
| State | DE |
| Zip Code | 19977-1477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063966406 | Amanda Jamieson | Nurse Practitioner | 100 S Main St, Suite Number 205, Smyrna, DE 19977-1477 | 2016-08-14 |
| 1922450378 | Adeyinka O. Reid | Registered Nurse | 100 S Main St, Smyrna Women's Health, Smyrna, DE 19977-1477 | 2016-07-11 |
| 1508268178 | Bayhealth Medical Center, Inc. | Clinic/Center | 100 S Main St, Suite 201, Smyrna, DE 19977-1477 | 2014-09-25 |
| 1205111010 | Christiana Care Health Services Inc | Clinic/Center | 100 S Main St, Smyrna Health & Wellness Center, Suite 100, Smyrna, DE 19977-1477 | 2011-10-13 |
| 1467750729 | Emg Medical, Pa | Neuromusculoskeletal Medicine & OMM | 100 S Main St, Suite 216, Smyrna, DE 19977-1477 | 2011-03-09 |
| 1770814006 | Delaware Sleep Disorder Centers, LLC | Clinic/Center | 100 S Main St, Suite 201, Smyrna, DE 19977-1477 | 2010-01-27 |
| 1821327818 | Pain Management and Emg Services, Pa | Physical Medicine & Rehabilitation | 100 S Main St, Smyrna, DE 19977-1477 | 2009-12-22 |
| 1356670095 | Emg Services, LLC | Physical Medicine & Rehabilitation | 100 S Main St, Suite 216, Smyrna, DE 19977-1477 | 2009-12-09 |
| 1295060622 | Pure Wellness of Smyrna, LLC | Chiropractor | 100 S Main St, Suite 218, Smyrna, DE 19977-1477 | 2009-10-02 |
| 1528214236 | Zweiacher Chiropractic Services | Chiropractor | 100 S Main St, Suite 204, Smyrna, DE 19977-1477 | 2008-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195857 | Nicola Dwyer | Licensed Practical Nurse | 121 Balamor Ct, Smyrna, DE 19977 | 2019-10-17 |
| 1487202982 | Steps 2 Wellness, LLC | Nurse Practitioner | 229 N Main Street, Smyrna, DE 19977 | 2019-08-28 |
| 1609423813 | Nu Beginning Center, LLC | Community/Behavioral Health | 229 North Main Street, Smyrna, DE 19977 | 2019-08-22 |
| 1467959593 | Cimi Behavior Analytic Solutions | Behavioral Analyst | 329 Garrisons Lake Blvd, Smyrna, DE 19977 | 2018-04-05 |
| 1548795859 | Connections Community Support Programs, Inc. | Clinic/Center | 350 N. High Street Extension, Smyrna, DE 19977 | 2017-04-24 |
| 1912352782 | Elizabeth Soleh Kerkula | Registered Nurse | 611 Providence Drive, Smyrna, DE 19977 | 2016-04-29 |
| 1780075218 | Life Force Caregivers, Inc. | Custodial Care Facility | 127 E. Glenwood Ave., Smyrna, DE 19977 | 2015-02-05 |
| 1164826707 | Naomi Ruth Thomas | Registered Nurse | 654 Brenford Station Road, Smyrna, DE 19977 | 2014-10-10 |
| 1104164524 | Christianacare Health Systems | Clinic/Center | 100 Sunnyside Rd 3rd Floor Prickett South, Smyrna, DE 19977 | 2013-01-18 |
| 1891056529 | Alex Bongon Siapno | Physical Therapist | 3034 S Dupont Blvd., Smyrna, DE 19977 | 2012-05-29 |
| Find all providers in zip 19977 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477800084 | Boniface Ikejiani | Obstetrics & Gynecology | 523 Liberty Dr, Smyrna, TN 37167-5208 | 2012-08-14 |
| 1659508240 | Obiajulu C. Okafor, M.d. | Obstetrics & Gynecology | 739 President Place, Suite 100, Smyrna, TN 37167 | 2009-06-22 |
| 1649465014 | Richard C Huddleston Md PC | Obstetrics & Gynecology | 300 Stonecrest Blvd Ste 490, Smyrna, TN 37167-6817 | 2007-09-10 |
| 1073546487 | Kalpana J Raghavan | Obstetrics & Gynecology | 3610 Highlands Pkwy Se, Building 2, Smyrna, GA 30082-5184 | 2006-07-09 |
| 1346215837 | Nanette Nicole Cook | Obstetrics & Gynecology | 4480 North Cooper Lake Road, Suite 220, Smyrna, GA 30082-4623 | 2006-02-20 |
| 1063486959 | Eric L Brown | Obstetrics & Gynecology | 2635 S Cobb Dr Se, Smyrna, GA 30080-1845 | 2006-02-15 |
| 1689674640 | Mindy I Fine | Obstetrics & Gynecology | 1675 Cumberland Pkwy Se, Suite 106, Smyrna, GA 30080-6359 | 2005-07-29 |
| 1891791471 | Louis T Riley | Obstetrics & Gynecology | 300 Stonecrest Blvd, Ste 490, Smyrna, TN 37167-6817 | 2005-06-28 |
| 1780168443 | Gyn-care 2, LLC | Obstetrics & Gynecology | 2635 S Cobb Dr Se, Smyrna, GA 30080-1845 | 2018-09-19 |
| 1386988301 | Innovative Women's Healthcare Solutions, LLC | Obstetrics & Gynecology | 3903 S Cobb Dr Se, #105, Smyrna, GA 30080-8504 | 2012-11-15 |
| Find all providers in SMYRNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.